Everyday health communication experiences of college students

OBJECTIVE: The authors examined college students' day-to-day health communication experiences. PARTICIPANTS: A convenience sample of 109 midwestern university students participated in the study. METHODS: The participants completed health communication diaries for 2 weeks, generating 2,185 records. Frequent health topics included nutrition and diet, minor health concerns, risky health practices, and body fitness. RESULTS: Approximately 27% of health communication experiences involved the proactive seeking of health-related information or advice. Interpersonal venues (face-to-face, telephone, and e-mail) were evident in about 75% of the records, which were dominated by exchanges with friends and family members. The authors found modest interactions of topic, channel, and purpose. CONCLUSIONS: Congruent with the uses and gratifications theory, the authors found that satisfaction with and perceived impact of health communication experiences varied by topic, channel, relationship, and purpose.     

Mental Health Service Delivery to Sexual Minority and Gender Non-Conforming Students in Schools: A Winnicottian Approach

Current research highlights the increased risk factors that sexual minority (lesbian, gay, bisexual) and gender minority (transgender/gender non-conforming) students face as compared to their heterosexual and cisgender peers. These risk factors include higher rates of depression, suicide, substance use, school dropout, sexually transmitted infections, experiences with bullying on school campuses and increased risk of homelessness. Although this research has aided our understanding of the needs and risks of this population of youth, few articles have emerged from these data which offer a comprehensive theoretical approach to work clinically with these adolescents in school-based settings. This article explores how school mental health staff can address the behavioural health needs of sexual and gender minority students through the adoption of a Winnicottian theoretical approach. With an intensive focus on academic achievement, schools have historically been limited in their usage of evidence-based data to create programs which adequately address the mental health needs of student populations on their campuses. Yet, sexual and gender minority students are likely to be present in almost every school in the country. Schools can serve as gateways to mental health access and can offer innovative and culturally responsive practices across racial, ethnic, class, and geographic lines. As the single largest holders of the student population in the United States, schools have the ability to play a significant role in mental health service provision for sexual and gender minority youth.     

The working alliance as a model for interdisciplinary collaboration

Rehabilitation and health care researchers are increasingly called upon to examine contemporary disability issues from an interdisciplinary perspective. Therefore, the purpose of this article is to (a) borrow from the counseling literature to introduce the working alliance, a model developed by Bordin [1] to facilitate positive therapeutic relationships; and (b) to discuss its application to interdisciplinary research. The authors, who represent the fields of nursing, rehabilitation, and health communication, describe characteristics of the working alliance and draw upon their experiences to illustrate the key components of effective working alliances (bonds, goals, and tasks). We also introduce strategies for resolving disagreements and conclude the article with a discussion regarding the multiple rewards that can be acquired from interdisciplinary research.     

Lesbian,Gay, Bisexual,Transgender, Queer,and Questioning Youths' Perspectives of Inclusive School-Based Sexuality Education

Sexuality education is perceived as one way to prevent unhealthy sexual behaviors. However, current sexuality education materials are not tailored to fit the needs of lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) youth, and many have been critiqued for disenfranchising these populations. This study solicited the perspectives of LGBTQ youth on their experiences with school-based sexuality education in order to create a framework of LGBTQ-inclusive sexuality education. Five semistructured focus groups (N = 30 LGBTQ participants) were conducted to investigate the sexuality education experiences of LGBTQ youth and to solicit youth suggestions for improving the inclusiveness of sexuality education curricula. Results indicate that LGBTQ youth perceive current sexuality education as primarily “exclusive,” although examples of “inclusive” sexuality education were provided. In addition, participants provided suggestions for creating a more inclusive experience, such as directly discussing LGBTQ issues, emphasizing sexually transmitted infection (STI) prevention over pregnancy prevention, and addressing healthy relationships. Educators and policymakers can use these ideas to help improve the quality of sexuality education—not only to make it more inclusive for LGBTQ youth but to make sexuality education more inclusive for all young people.     

The Sacred and the Search for Significance: Religion as a Unique Process

Although many social scientists have assumed that religion can be reduced to more basic processes, there may be something unique about religion. By definition, religion has a distinctively meaningful point of reference, the sacred. Empirically, studies also suggest that religion may be a unique: form of motivation; source of value and significance; contributor to mortality and health; source of coping; and source of distress. These findings point to the need for: theory and research on the sacred; attention to the pluralization of religious beliefs and practices; evaluation of individual and social interventions that address spiritual problems and apply spiritual resources to their resolution; and collaboration between psychological and religious groups that draws on their unique identities and strengths.     

The politics of marital name change

Each year, millions of women face the decision whether or not to change their names after marriage. One study found that region, gender role traditionalism, career orientation, and educational attainment predicted name changes (Johnson and Scheuble, 1995). Another line of research discovered that women who changed their names were perceived as less ambitious and less competent, but more caring than women who did not change their name (Noordewier et al., 2010). Despite the prevalence and importance of this decision, we know very little about marital name change among political leaders. In this study, we take a preliminary look at marital name change in the political arena by focusing on name changing among women serving in the U.S. House and U.S. Senate. We find that half of female legislators keep their name after marriage, and that Democrats, racial minorities, legislators who come from political families, legislators who were married later in life, and legislators who were first elected to office at a younger age are more likely to keep their names.     

Generalized growth curve models for longitudinal data in application to a randomized controlled trial

Growth curve analysis is beneficial in longitudinal studies, where the pattern of response variables measured repeatedly over time is of interest, yet unknown. In this article, we propose generalized growth curve models under a polynomial regression framework and offer a complete process that identifies the parsimonious growth curves for different groups of interest, as well as compares the curves. A higher order of a polynomial degree generally provides more flexible regression, yet it may suffer from the complicated and overfitted model in practice. Therefore, we employ the model selection procedure that chooses the optimal degree of a polynomial consistently. Consideration of a quadratic inference function (Qu et al., 2000) for estimation on regression parameters is addressed and estimation efficiency is improved by incorporating the within-subject correlation commonly existing in longitudinal data. In biomedical studies, it is of particular interest to compare multiple treatments and provide an effective one. We further conduct the hypothesis test that assesses the equality of the growth curves through an asymptotic chi-square test statistic. The proposed methodology is employed on a randomized controlled longitudinal dataset on depression. The effectiveness of our procedure is also confirmed with simulation studies.     

Power,Exchange and Solidarity: Case Studies in Youth Volunteering for Development

The proliferation of volunteering for development (V4D) models, approaches and funding sources means V4D is no longer able to be neatly located within the third sector. The enormous diversity of interactions within the Youth V4D (YV4D) field provides an opportunity to examine new and different activities and trajectories to ascertain the extent to which the traditional values of V4D, reciprocity and solidarity continue to form part of YV4D. Using the classical third sector model of Evers and Laville (The third sector in Europe, Edward Elgar, Cheltenham, 2004), and drawing on Polanyi (The great transformation: the political and economic origins of our time, Beacon Press, Boston, 2001 [1944]) and Mauss (The gift. The form and reason for exchange in archaic societies, Routledge, London, 1990 [1925]), in particular their concepts of redistribution and reciprocity, we present three case studies of new hybrid YV4D trajectories—university YV4D, state YV4D programmes, and volunteer tourism/voluntourism—to reveal the different logics and features of contemporary YV4D. We argue that understanding these contemporary YV4D trajectories requires a focus on organisational and stakeholder structures of diverse volunteering activities, their relational logics and the forms of reciprocity they involve. We find that in the YV4D case studies we explore the neoliberal market logic of exchange, along with political ideologies and state interests, affects the YV4D model design.